Individual
JUSTIN DARRELL MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 KIOWA, SHAWNEE, OK 74801-5575
(405) 397-4365
Mailing address
27 KIOWA, SHAWNEE, OK 74801-5575
(405) 397-4365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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